Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $11.31 / $30.29 / $53.89	Facility		$11.31	$30.29	$53.89
Aetna Facility/Professional Professional Modifier Low / Median / High Price $11.31 / $14.62 / $19.55	Professional		$11.31	$14.62	$19.55
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $12.27 / $21.72 / $58.82	Facility		$12.27	$21.72	$58.82
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $6.21 / $8.27 / $33.61	Professional		$6.21	$8.27	$33.61
CareSource Facility/Professional Facility Modifier Low / Median / High Price $11.56 / $17.00 / $27.20	Facility		$11.56	$17.00	$27.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $17.09 / $37.40 / $52.29	Facility		$17.09	$37.40	$52.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $10.39 / $20.65 / $25.81	Professional		$10.39	$20.65	$25.81
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $18.57 / $24.14 / $60.27	Professional		$18.57	$24.14	$60.27
United Facility/Professional Professional Modifier Low / Median / High Price $9.35 / $12.60 / $35.51	Professional		$9.35	$12.60	$35.51